Individual
MONIQUE RENEE UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(612) 404-0561
Mailing address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(612) 404-0561
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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